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Adjuvanted Four-Strain Flu Vaccine

Alabama rates for HCPCS 90694

A flu shot that protects against four strains of influenza and contains an added ingredient designed to produce a stronger immune response to it. It is given as an injection into the muscle of the upper arm, and this stronger-response version is generally offered to older adults, whose response to a standard flu shot is weaker. The charge covers the vaccine itself; giving the shot is billed separately.

Rates data updated July 2026.

How much does Adjuvanted Four-Strain Flu Vaccine cost?

$69.18

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $46.77 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$69.18$69.18 to $75.86
FacilityA hospital or hospital-owned outpatient department$46.77$40.74 to $56.23

How much rates vary

Facilitymedian $47 · 10th to 90th $37 to $76Professionalmedian $69 · 10th to 90th $69 to $78
$50$100facility $47professional $69

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$75.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$44.67
Typical High
$60.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$70.79
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$81.28
Typical High
$87.10

Where Alabama sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alabama· 48th of 51

$69.18

AK $100CT $69.18

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.